Invoice: 7069
Voucher Codes:
KXQO
53G9
3QDF
95KO
2FZE
6784
RVMB
4H5K
KWTC
N9MT
C3PW
WN9R
KXQO
53G9
3QDF
95KO
2FZE
6784
RVMB
4H5K
KWTC
N9MT
C3PW
WN9R
Invoice: 7069
Invoice Date: September 30, 2025
Service Dates: 9/1/2025 – 9/30/2025
TO:
Wyoming Department of Health
Communicable Disease Unit
122 West 25th Street, 3rd Floor West
Cheyenne, Wy, 82002
Phone (307) 777-3562 | Fax 307-777-8547
FROM:
Gillette Reproductive Health
P.O. Box 2915Gillette, wyoming 82717
Total Vouchers: 12
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 7 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $98.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 5 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| Invoice Total | $298.00 | ||